Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Facility		$23.68	$23.68	$23.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $23.68 / $23.68	Professional		$8.00	$23.68	$23.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $97.52	Professional		$22.00	$22.00	$97.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $75.72 / $88.13	Professional		$70.50	$75.72	$88.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $23.68 / $42.62	Facility		$8.00	$23.68	$42.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $109.00 / $109.00	Facility		$8.24	$109.00	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $23.68 / $42.62	Facility		$8.00	$23.68	$42.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $68.23 / $109.00	Facility		$65.00	$68.23	$109.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Professional		$75.72	$75.72	$75.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Professional		$29.50	$29.50	$29.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $28.73 / $29.50	Professional		$25.08	$28.73	$29.50